Geriatric Care Transition Navigator

Community-Home-Physicians; Arlington Heights (IL); On-site; USD 30,000 - 41,000; Full time

Benefits offered by this job

401(k) with company matching

Health, Dental, Vision insurance

Health Savings Account (HSA)

Life insurance

Paid Time Off

Job summary

Community Physicians is seeking a Patient Care Navigator to bridge patients, families, and care teams, coordinating transitions across care settings. The role emphasizes patient advocacy and documentation in the EMR system.

The ideal candidate will have a CMA (preferred), a high school diploma or equivalent, BLS certification, and 1–3 years EMR experience. Travel between facilities is required, with full-time hours and a Monday–Friday schedule.

Qualifications

• High school diploma or equivalent is required.
• Graduate of an accredited Medical Assistant program is required.
• Certified Medical Assistant (CMA) is highly preferred.

Responsibilities

• Collaborate with patients, families, and multidisciplinary medical professional team.
• Support patients and family members with transitions to the next level of care, including setting up follow-up appointments.
• Perform chart creation and data entry of patient demographics, medications, and diagnoses within the EMR system.
• Assist with transition clinic services, patient intake, phone calls, and documentation.
• Conduct patient social risk factor assessments to identify unmet health or social needs.
• Identify high-risk, complex patients who would benefit from transition services, chronic disease management, or remote monitoring, and assist them with enrollment.
• Serve as a reliable point of contact and advocate for the patient.
• Attend IDT (Interdisciplinary Team) plan of care meetings at facilities and communicate daily with practitioners and Nurse Case Managers.
• Assist in the collection of key quality metrics and program performance improvement data.

Skills

Bedside manner

Problem-solving

Communication

Compassion

Travel

Education

High school diploma or equivalent

Graduate of an accredited Medical Assistant program

Certified Medical Assistant (CMA) preferred

Basic Life Support (BLS) Certification

Tools

EMR/EHR systems

Job description

Community Physicians is seeking a Patient Care Navigator to bridge patients, families, and care teams, coordinating transitions across care settings. The role emphasizes patient advocacy and documentation in the EMR system.

The ideal candidate will have a CMA (preferred), a high school diploma or equivalent, BLS certification, and 1–3 years EMR experience. Travel between facilities is required, with full-time hours and a Monday–Friday schedule.